Wound Dock™
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Medi-Cal & Medicaid Referral Network

Serving referring practices in Los Angeles & Sacramento

Get Your Medi-Cal Patients to a Wound Specialist Without the Runaround

Your office submits the basics. Wound Dock helps connect your patient with a wound care provider, coordinates the next steps, and keeps your practice informed through the first visit.

Submit a Referral Online Download & Fax a Referral
Free referral coordination for your practiceNo referral feesFollow-up through the first visit

What Happens After You Submit

One referral starts the process. Here is how your office and Wound Dock work together to connect your patient with care.

Your Staff

Submit the Referral

Your front desk, medical assistant, or referral coordinator sends the patient's contact information, insurance details, and a brief wound description. Submit online or fax the completed referral form.

Wound Dock

We Verify & Match

Our team checks the patient's coverage and referral needs, reviews the information provided, and identifies a wound care provider in our Los Angeles or Sacramento network who can accept the patient.

Wound Dock

We Help Place the Patient

We contact the patient, help coordinate scheduling, and confirm acceptance with the receiving office. Your staff has a referral contact to help resolve questions along the way.

Wound Dock

We Follow Through

We follow the referral through the first visit and update your office on placement and whether the patient has been seen.

Provider acceptance and scheduling depend on the patient's health plan, referral requirements, and provider availability.

Less Referral Work for Your Practice

Give your staff a clear starting point and a team to help coordinate the next steps.

No Referral Fees

Wound Dock's referral coordination is free for your practice, the patient, and the receiving provider. There are no referral fees. Coverage and costs for medical care are determined separately by the patient's health plan and provider.

Start With the Basics

Send the information needed to begin reviewing the referral. If additional clinical records or insurance details are needed, a coordinator follows up with your office.

Your Office Stays Informed

Receive updates as the patient is placed and after the first visit, so your staff has a clearer view of what happened after the referral.

Choose How to Submit Your Referral

Use the option that works best for your practice.

Submit Online

Complete the referral form with your practice information, patient details, and reason for referral.

  1. Enter the referring provider and patient information.
  2. Include the patient's Medi-Cal or Medicaid plan and a brief referral summary.
  3. Review the information and submit your referral.
Start Online Referral

Download & Fax

Prefer to send a fax from your office? Download the referral form and complete it with the patient's information.

  1. Download and complete the referral form.
  2. Include insurance information and relevant clinical records.
  3. Fax the referral packet to Wound Dock.
Wound Dock Referral Fax(877) 681-4797
Download Referral Form (PDF)

Have Your Referral Information Ready

Start with your practice contact, the patient's contact information, insurance plan, and a brief reason for referral. Include supporting records when available; our team can follow up for additional details.

  • Patient name, date of birth, and contact information
  • Medi-Cal or Medicaid member ID and health plan name
  • Referring physician name, NPI, and practice information
  • Practice phone, fax, and referral contact
  • Wound location, duration, and reason for referral
  • Relevant clinical records and current treatment
  • Insurance card copy, if available
  • Referral authorization information, if applicable

Online Physician Referral

Send us the basics, and our team will help coordinate the next steps. We will contact your office if additional information is needed.

1Referring Office
2Patient & Coverage
3Referral Details
This field is for validation purposes and should be left unchanged.

Referring Office

Provide a contact our referral coordinator can reach with questions and updates.
Enter the 10-digit NPI, if available.
Used for referral correspondence and updates.

Referral Questions

Where does this referral service operate?

This referral pathway focuses on connecting patients with wound care providers in Los Angeles and Sacramento. Include the patient's city so our team can review local options.

Is there a charge to submit a referral?

Wound Dock does not charge a referral coordination fee. Any charges for medical care depend on the patient's insurance coverage and the receiving provider.

Does my patient need a separate account?

No separate patient account is needed to submit this referral. Your office can provide the patient's contact information through the online form or fax referral.

What insurance information should I provide?

Include the patient's Medi-Cal or Medicaid member ID, specific health plan name, and insurance card copy when available so the receiving office can verify coverage.

What should I include with a fax referral?

Send the completed referral form, insurance information, relevant visit notes, and any referral authorization information available.

Does submitting a referral confirm an appointment?

No. Submitting a referral does not confirm an appointment or insurance coverage. The receiving provider must confirm those details.

Questions about a referral? Call (720) 276-8036.